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Bilateral cochlear implantation in children: simultaneously or in consecutive sessions?

Published online by Cambridge University Press:  08 April 2021

A Dalgic ,
G Atsal ,
O Yildirim ,
D T Edizer ,
MB Özay  and
L Olgun
A Dalgic*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey
G Atsal
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Siirt University, Siirt Teaching and Research Hospital, Turkey
O Yildirim
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey
D T Edizer
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey
MB Özay
Affiliation:
Department of Otorhinolaryngology, Baskent Zubeyde Hanım Training and Research Hospital, Izmir, Turkey
L Olgun
Affiliation:
Department of Otorhinolaryngology, Baskent Zubeyde Hanım Training and Research Hospital, Izmir, Turkey
*
Author for correspondence: Dr Abdullah Dalgic, Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Saim Cikrikci Caddesi 59, Izmir35360, Turkey E-mail: dalgicabdullah@gmail.com Fax: +90 232 261 4444
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Abstract

Objective

This study aimed to evaluate and compare cases of simultaneous and consecutive bilateral cochlear implantation from the perspective of the duration of anaesthesia, surgical complications and hospitalisation.

Method

Fifty patients with simultaneous bilateral cochlear implantation (group 1) and 47 patients with consecutive bilateral cochlear implantation (group 2) were included in this study. The two groups were compared in terms of the duration of anaesthesia, the duration of surgery, radiological findings, the complications and the post-operative hospitalisation time.

Results

Group 1 had a significantly shorter operation time than group 2 (p < 0.01). The mean total operation time was 189 minutes in group 1. In group 2, the mean operation times for the first and second surgery were 134 minutes and 136 minutes, respectively, and the total operation time for both surgical procedures in group 2 was 270 minutes. The duration of post-operative hospitalisation of the patients in group 1 was significantly shorter than the total post-operative hospitalisation after both operations for the patients in group 2 (p < 0.01).

Conclusion

In conclusion, if there is no anatomical problem that may lead to a prolonged operation time or any risk regarding anaesthesia, simultaneous bilateral cochlear implantation can be performed safely.

Keywords

Cochlear ImplantsCochlear ImplantationHearing LossSensorineural
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 4 , April 2021 , pp. 327 - 331
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Dalgic takes responsibility for the integrity of the content of the paper

References

Svirsky, MA, Teoh, SW, Neuburger, H. Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation. Audiol Neurotol 2004;9:224–33CrossRefGoogle ScholarPubMed
Geers, AE. Speech, language, and reading skills after early cochlear implantation. Arch Otolaryngol Head Neck Surg 2004;130:634–8CrossRefGoogle ScholarPubMed
Gray, RF, Jones, SE, Court, I. Cochlear implantation for progressive hearing loss. Arch Dis Child 2003;88:708–11CrossRefGoogle ScholarPubMed
Dettman, SJ, Dowell, RC, Choo, D, Arnott, W, Choo, D, Abrahams, Y et al. Long-term communication outcomes for children receiving cochlear implants younger than 12 months: a multicenter study. Otol Neurotol 2016;37:82–95CrossRefGoogle ScholarPubMed
Mok, M, Galvin, KL, Dowell, RC, McKay, CM. Speech perception benefit for children with a cochlear implant and a hearing aid in opposite ears and children with bilateral cochlear implants. Audiol Neurotol 2010;15:44–56CrossRefGoogle Scholar
Murphy, J, O'Donoghue, G. Bilateral cochlear implantation: an evidence-based medicine evaluation. Laryngoscope 2007;117:1412–8CrossRefGoogle ScholarPubMed
Papsin, BC, Gordon, KA. Bilateral cochlear implants should be the standard for children with bilateral sensorineural deafness. Curr Opin Otolaryngol Head Neck Surg 2008;16:69–74CrossRefGoogle ScholarPubMed
Steffens, T, Lesinski-Schiedat, A, Strutz, J, Aschendorff, A, Klenzner, T, Ruhl, S et al. The benefits of sequential bilateral cochlear implantation for hearing-impaired children. Acta Otolaryngol 2008;128:164–76CrossRefGoogle ScholarPubMed
Ramsden, JD, Papsin, BC, Leung, R, James, A, Gordon, KA. Bilateral simultaneous cochlear implantation in children: our first 50 cases. Laryngoscope 2009;119:2444–8CrossRefGoogle ScholarPubMed
Gordon, KA, Papsin, BC. Benefits of short interimplant delays in children receiving bilateral cochlear implants. Otol Neurotol 2009;30:319–31CrossRefGoogle ScholarPubMed
Gordon, KA, Jiwani, S, Papsin, BC. What is the optimal timing for bilateral cochlear implantation in children? Cochlear Implants Int 2011;12:8–14CrossRefGoogle ScholarPubMed
Chadha, NK, Papsin, BC, Jiwani, S, Gordon, KA. Speech detection in noise and spatial unmasking in children with simultaneous versus sequential bilateral cochlear implants. Otol Neurotol 2011;32:1057–64CrossRefGoogle ScholarPubMed
Wie, OB. Language development in children after receiving bilateral cochlear implants between 5 and 18 months. Int J PediatrOtorhinolaryngol 2010;74:1258–66CrossRefGoogle ScholarPubMed
Boons, T, Brokx, JPL, Frijns, JHM, Peeraer, L, Philips, B, Vermeulen, A et al. Effect of pediatric bilateral cochlear implantation on language development. Arch PediatrAdolesc Med 2012;166:28–34CrossRefGoogle ScholarPubMed
Uecker, FC, Szczepek, A, Olze, H. Pediatric bilateral cochlear implantation: simultaneous versus sequential surgery. Otol Neurotol 2019;40:454–60CrossRefGoogle ScholarPubMed
Hansen, S, Anthonsen, K, Stangerup, SE, Jensen, JH, Thomsen, J, Cayé-Thomasen, P. Unexpected findings and surgical complications in 505 consecutive cochlear implantations: a proposal for reporting consensus. Acta Otolaryngol 2010;130:540–9CrossRefGoogle ScholarPubMed
Gordon, KA, Valero, J, Papsin, BC. Auditory brainstem activity in children with 9-30 months of bilateral cochlear implant use. Hear Res 2007;233:97–107CrossRefGoogle Scholar
Rahne, T, Plontke, SK. Functional result after cochlear implantation in children and adults with single-sided deafness. Otol Neurotol 2016;37:332–40CrossRefGoogle ScholarPubMed
Migirov, L, Kronenberg, J. Bilateral, simultaneous cochlear implantation in children: surgical considerations. J Laryngol Otol 2009;123:837–9CrossRefGoogle ScholarPubMed
Lovett, RE, Kitterick, PT, Hewitt, CE. Bilateral or unilateral cochlear implantation for deaf children: an observational study. Arch Dis Child 2010;95:107–12CrossRefGoogle ScholarPubMed
Basura, GJ, Eapen, R, Buchman, CA. Bilateral cochlear implantation: current concepts, indications, and results. Laryngoscope 2009;119:2395–401CrossRefGoogle Scholar
Jöhr, M, Ho, A, Wagner, CS, Linder, T. Ear surgery in infants under one year of age: its risks and implications for cochlear implant surgery. Otol Neurotol 2008;29:310–3CrossRefGoogle ScholarPubMed
Peters, BR, Wyss, J, Manrique, M. Worldwide trend in bilateral cochlear implantation. Laryngoscope 2010;120:17–44CrossRefGoogle Scholar
Roland, JT, Cosetti, M, Wang, KH, Immerman, S, Waltzman, SB. Cochlear implantation in the very young child: long-term safety and efficacy. Laryngoscope 2009;119:2205–10CrossRefGoogle ScholarPubMed
James, AL, Papsin, BC. Cochlear implant surgery at 12 months of age or younger. Laryngoscope 2004;114:2191–5CrossRefGoogle ScholarPubMed
Kronenberg, J, Migirov, L, Taitelbaum-Swead, R, Hildesheimer, M. Bilateral cochlear implantation [in Hebrew]. Harefuah 2010;149:362–4Google Scholar
Grainger, J, Jonas, NE, Cochrane, LA. Simultaneous cochlear implantation in children: the Great Ormond Street experience. Cochlear Implants Int 2012;13:137–41CrossRefGoogle ScholarPubMed
Merdad, M, Wolter, NE, Cushing, SL, Gordon, KA, Papsin, BC. Surgical efficiency in bilateral cochlear implantation: a cost analysis. Cochlear Implants Int 2014;15:43–7CrossRefGoogle ScholarPubMed
Broomfield, SJ, Murphy, J, Wild, DC, Emmett, SR, O'Donoghue, GM. Results of a prospective surgical audit of bilateral paediatric cochlear implantation in the UK. Cochlear Implants Int 2014;15:246–53CrossRefGoogle ScholarPubMed
Ramsden, R, Greenham, P, O‘Driscoll, M, Mawman, D, Proops, D, Craddock, L et al. Evaluation of bilaterally implanted adult subjects with the nucleus 24 cochlear implant system. Otol Neurotol 2005;26:988–98CrossRefGoogle ScholarPubMed